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�O� <br /> 0 <br /> Request for Reprint of Oversized Documents <br /> or Building Plans and Blueprints <br /> �9kESH0 <br /> Date of Request: 5 <br /> Document Address: T� 1�t/ Javlf-�- <br /> Name: <br /> J u S -74 N E JIJ ✓V( v COW ft97jj1 <br /> Address: SAO 1/�1 L-L SOS <br /> City: State: —VAL Zip: S� 2 y, <br /> Phone: I ) — ( � / / el C/ 7 �12 —2 21-3Y13 , <br /> (Work) (Home) <br /> Description of document(s) to be reprinted: (= PP— W-rS p <br /> /— 3yX � meati - �y <br /> CHARGES: All charges must be paid at the time of the request, and are non-refundable. <br /> Requests must be picked up at the City offices unless other arrangements have been made. The <br /> charges for reprints of oversized documents and building plans/blueprints are based on the <br /> following: <br /> Cost of Prints: !U sa /4/7 60 <br /> Special Handling Fee: 'q5' 00 <br /> Pickup/Delivery Fee -------$12.00----. <br /> Subtotal J FL/, 00 <br /> 6.5% Tax (prints/handling/delivery): ill q (.1 <br /> Clerical Fee $ 5.00 <br /> TOTAL oO (PI . <br /> (signature) <br /> 2750 Kelley Parkway,P.O.Box 66,Crystal Bay,MN 55323 <br /> Phone: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us <br />